Nrhm Objectives

 

Concept of NRHM

The National Rural Health Mission (NRHM) is a National effort at ensuring effective healthcare through a range of interventions at individual, household, community, and most critically at the health system levels. Despite considerable gains in health status over the past few decades in terms of increased life expectancy, reductions in mortality and morbidity serious challenges still remain. These challenges vary significantly from state to state and even within states.

There has been a progressive decline in budgetary allocation for public health in the country from 1.3% of GDP in 1990 to 0.9% in 1999. Rising inequities are another area of concern. Studies demonstrate that curative services favour the rich over the poor. Only one tenth of the population is covered by any form of health insurance thereby exposing the large majority to the risk of indebtedness in the event of a major illness in the family. Operational integration in policy and programme between various vertical programmes within the health sector, and between health and other related sectors such as drinking water, sanitation, and nutrition has been limited, resulting in a lack of holistic approaches to health. A number of States particularly in North, East and North Eastern parts of the country have stagnant health indicators and continue to grapple with significant morbidity and mortality. The causes for this basically lie in socio-economic factors, under performing health systems and weak institutional framework.

The National Common Minimum Programmer spells out the commitment of the Government to enhance Budgetary Outlays for Public Health and to improve the capacity of the health system to absorb the increased outlay so as to bring all round improvement in public health services. This Mission seeks to provide effective health care to the rural population, especially the disadvantaged groups including women and children, by improving access, enabling community ownership and demand for services, strengthening public health systems for efficient service delivery, enhancing equity and accountability and promoting decentralization.

 Key Components & Strategies

The NRHM provides broad operational framework for the Health Sector. Suggestive guidelines have been issued on key interventions like ASHA, Indian Public Health Standards (IPHS), institutional deliveries, immunization, preparation of District Action Plan, role of Panchayati Raj Institutions etc. The States shall have flexibility to project operational modalities in their State Action Plans, which would be decided in consultation with the Mission Steering Group.

Core strategies of NRHM include:Increasing Community ownership by vesting responsibility with PRIsDecentralized village and district level health planning and managementAppointment of Accredited Social Health Activist (ASHA) to facilitate access to health servicesStrengthening the public health service delivery infrastructure, particularly at village, primary and 
secondary levels,Mainstreaming AYUSH,Improved management capacity to organize health systems and services in public healthEmphasizing evidence based planning and implementation through improved capacity and infrastructure,Promoting the non-profit sector to increase social participation and community empowerment, promoting healthy behaviors, and improving intersectional convergence.

Supplementary StrategiesRegulation of the private sector to improve equity and reduce out of pocket expensesFoster public–private partnerships to meet national public health goals,Re-orienting medical education,Introduction of effective risk pooling mechanisms and social insurance to raise the health security of the poor,Taking full advantage of local health traditions.

Goals of NRHM and Mission OutcomesThe goals of NRHM are outlined below:Reduction in Infant Mortality Rate and Maternal Mortality Ratio by at least 50% from existing levels in next seven yearsUniversalize access to public health services for Women’s health, Child health, water, hygiene, sanitation and nutritionPrevention and control of communicable and non-communicable diseases, including locally endemic diseasesAccess to integrated comprehensive primary healthcareEnsuring population stabilization, gender and demographic balance.Revitalize local health traditions and mainstream AYUSHPromotion of healthy life styles.The Mission outcomes are expected to follow a phased approach and are at two levels: 

1. National Level

Infant Mortality Rate to be reduced to 30/1000 live births

Maternal Mortality Ratio to be reduced to 100/100,000

Total Fertility Rate to be brought to 2.1

Malaria mortality reduction rate –50% upto 2010, additional 10% by 2012

Kala Azar to be eliminated by 2010.

Filaria/Microfilaria reduction rate: 70% by 2010, 80% by 2012 and elimination by 2015

Dengue mortality reduction rate: 50% by 2010 and sustaining at that level until 2012

Japanese Encephalitis mortality reduction rate: 50% by 2010 and sustaining at that level until 2012

Cataract Operation: increasing to 46 lakhs per year until 2012.

Leprosy prevalence rate: to be brought to less than 1/10,000.

Tuberculosis DOTS services: from the current rate of 1.8/10,00, 85% cure rate to be maintained through the entire Mission period.

2000 Community Health Centers to be upgraded to Indian Public Health Standards

Utilization of First Referral Units to be increased from less than 20% to 75%

250,000 women to be engaged in 18 states as Accredited Social Health Activists (ASHA).

2. Community Level

Availability of trained community level worker at village level, with a drug kit for generic ailments

Health Day at Anganwadi level on a fixed day/month for provision of immunization, ante/post natal checkups and services related to mother & child healthcare, including nutrition

Availability of generic drugs for common ailments at Sub-centre and hospital level

Good hospital care through assured availability of doctors, drugs and quality services at PHC/CHC level

Improved access to Universal Immunization through induction of Auto Disabled Syringes, alternate vaccine delivery and improved mobilization services under the programme

Improved facilities for institutional delivery through provision of referral, transport, escort and improved hospital care subsidized under the Janani Suraksha Yojana (JSY) for the Below Poverty Line families

Availability of assured healthcare at reduced financial risk through pilots of Community Health Insurance under the Mission

Provision of household toilets

Improved Outreach services through mobile medical unit at district-level.

POSHAN karyakram rajasthan

POSHAN

Rajasthan POSHAN strategy -Proactive and Optimum zcare of children, through Social- Household Approach for Nutrition" for community based management of children with Severe Acute malnutritionSevere Acute malnutrition is the most dangerous form of malnutrition. Even after a decade of galloping economic growth, child malnutrition rates are worse in India than in many sub-Saharan African countries. India is the home to the largest pool of children with SAM in the world; we have around 80 lakh children which consist of 42 % of Global load of children with SAM. In Rajasthan we have around 638166 children with SAM as of 2012 ( NFHS III- SAM Rajasthan 7.3% ) and as per RSOC it is 2.9%.
Severe acute malnutrition is defined by very low weight-for-height/length (Z- score below -3SD of the median WHO child growth standards), a mid-upper arm circumference <115 mm, or by the presence of nutritional edema. SAM increases significantly the risk of death in children less than five years of age. It can be an indirect cause of child death by increasing the case fatality rate in children suffering from common illnesses such as diarrhea and pneumonia. 
Children with Severe Acute Malnutrition (SAM) have nine times higher risk of dying than well-nourished children. In India, the prevalence of SAM in children remains high despite overall economic growth. The National Family Health Survey-3 revealed that 6.4 percent of all children under-five years of age are severely wasted. With appropriate nutritional and clinical management, many of the deaths due to severe wasting can be prevented.

It is proven by the NFHS data and confirmed by Ministry of Health and Family Welfare, GOI and also after the assessment of the Rajasthan data that the problem of children with SAM is mostly in most deprived populations like scheduled tribes, Primitive Tribes and in Scheduled Caste communities, children youngest- under 2 years and in girl children.

To prevent deaths due to severe acute malnutrition (SAM), specialized treatment and prevention interventions are required with strong food security and feeding drive. Programmatically, it is helpful to categorize children with SAM into ‘complicated and uncomplicated’ cases based on clinical criteria and can be managed through

Facility/hospital-based care for SAM children and medical complications. (MTC)

Home/community-based care for SAM children but without medical complications using Medical Nutrition Therapy ( MNT)

Rajasthan initiative to treat and manage children with SAM –

Department of Health and Family welfare and UNICEF have jointly initiated facility based care for SAM children and complications. A total of 88 MTCs are fully operational and 59 are in the process of operationalisation. We have treated 9143 children with SAM in these facilities in the year 2014-15.
Now state has visualized community based strategy to manage SAM child without complications at Home/ community level. The strategy is discussed and consulted, with proposed frame and key features.

Rajasthan Sarkar Ki Kushal Mangal Yojana

कुशल मंगल कार्यक्रम

राज्य में मातृ मृत्यु दर को कम करने के उददेश्य से राज्य सरकार द्धारा सतत रूप से कई महत्वपूर्ण कार्य एवं प्रयास किये जा रहे है। इसी दिशा में सुरक्षित मातृत्व की परिकल्पना को साकार करने हेतु राज्य में हाईरिस्क प्रेगनेन्सी को विशेष महत्व प्रदान कर उनका चिन्हीकरण, लाईन लिस्टिंग, उपचार एवं फालोअप किया जाना है।

राजस्थान में अनुमानतः 19,60,000 महिलाएं प्रत्येक वर्ष गर्भवती होती है, जिनमें से 10 प्रतिशत (अनुमानतः 1.9 लाख) केसेज में जटिलताएं उत्पन्न होनी को संभावना होती है। इन 1.9 लाख एएनसी में से 80 प्रतिशत (1.52 लाख) प्रसूताओं को प्रशिक्षित स्वास्थ्य कर्मीओं द्वारा समय पर पहचान कर उनका प्रबंधन किया जा सकता है जबकि शेष 20 प्रतिशत (38,000) महिलाओं को सी-सेक्शन एवं अन्य प्रसूति जटिलता प्रबंधन हेतु विशेषज्ञ/स्त्रीरोग विशेषज्ञ की आवश्यकता होती है।

राजस्थान सरकार द्धारा विशेषकर ग्रामीण क्षेत्रों की गर्भवती महिलाओं के लिए ‘‘कुशल मंगल कार्यक्रम‘‘ नाम से एक समेकित योजना बनाई गई है। इस योजना के अन्तर्गत गर्भवती महिलाओं में जटिलता का समय पर चिन्हिकरण, लाइनलिस्टिंग, समय पर रेफरल, टेªकिंग एवं फोलोअप कर उपयुक्त चिन्हित चिकत्सा संस्थान पर संस्थागत प्रसव करवाया जायेगा ताकि मातृ एवं शिशु मृत्यु दर एवं रूग्णता में कमी लाई जा सके।

कार्यक्रम के उद्देश्यः-

गर्भावस्था के दौरान जटिलताओं एवं खतरे की शीघ्र पहचान एवं प्रबंधन।एचआरपी की पहचान, टेकिंग, लाइन लिस्टिंग एवं फोलोअप हेतु एक तंत्र की स्थापना।विशेष केसेज को विशेषज्ञ देखभाल एवं प्रबंधन की सुविधाएं उपलब्ध करवाते हुए संस्थागत प्रसव कराना।रेफरल हेतु निःशुल्क परिवहन सुविधा निश्चित रूप से उपलब्ध कराना।समुदाय स्तर पर नियोजित गर्भाधान, दो बच्चों के बीच अन्तराल एवं गर्भाधारण पूर्व एनिमिया की रोकथाम हेतु जागृति पैदा करना।

यह कार्यक्रम राज्य के सभी 34 जिलो में लागू किया गया है। कुशल मंगल कार्यक्रम छः सूत्रीय दृष्टिकोण का अनुसरण करता है जिसमें प्रत्येक गर्भवती महिला में अधिक जोखिम की शीघ्र पहचान, लाइन लिस्टिंग, प्रबंधन एवं फोलोअप को केन्द्रित किया है।

छः सूत्रीय दृष्टिकोण निम्न हैः-

गर्भधारण की योजना।एचआरपी जांच एवं ट्रेकिंग।Rajasthan HRP Counseling State Help Desk के तहत् 104 कॉल सेन्टर के द्धारा एचआरपी महिलाओं का फोलोअप।रेफरल हेतु निःशुल्क परिवहन सुविधा की निश्चित रूप से उपलब्धता।एचआरपी महिला का योजनाबद्ध संस्थागत प्रसव।माता एवं शिशु की प्रसवोत्तर देखभाल।

स्टेशनरीः-

कार्यक्रम संबंधी 15000 एएनएम मॉड्यूल, 3000 रजिस्ट्रर तथा 5000 मार्गदर्षिकाओ की प्रिटिंग का कार्य पूर्ण हो चुका है। सभी जिलो मे उक्त सामग्री भिजवायी जा चुकी है।

104 कॉल सेन्टर द्वारा कॉल्स की रिर्पोटः-

पीसीटीएस पर लाइन लिस्टेड गम्भीर एनिमिया से ग्रसित गर्भवती महिलाओं से 104 कॉल सेन्टर के माध्यम से सम्पर्क कर चिकित्सकीय सेवाओं के संबंध में सूचना ली जाती है। माह जुलाई से नवम्बर तक पीसीटीएस पर लाइन लिस्टेड 2327 गम्भीर एनिमिया से ग्रसित गर्भवती महिलाओं में से 922 गर्भवती महिलाओं से सम्पर्क किया जा सका जिसमें से 350 गर्भवती महिलाओं का सुरक्षित प्रसव हुआ तथा 572 गर्भवती महिलाओं से चिकित्सकीय सेवाओं के संबंध में वार्ता की गई। जिसके अनुसार निम्नानुसार कमियां पाई गईः-

28 गर्भवती महिलाओ की खून की जॉच नही हुई,69 गर्भवती महिलाओ को आयरन की गोलियां नही दी गयी।64 गर्भवती महिलाओं को आईवी आयरन सुक्रोज लगाने हेतु सलाह नहीं दी गई।

सुरक्षित मातृत्व दिवस

सुरक्षित मातृत्व दिवस के माध्यम से गर्भवती महिला को सीएचसी पर स्त्रीरोग विशेषज्ञ की सेवाएं उपलब्ध करवायी जा रही है। जिससे गर्भवती महिलाओ की गुणवत्तापूर्ण प्रसव पूर्व जॉच उच्च जोखिम वाली गर्भवती महिलाओ का चिह्किरण व फॉलोअप तथा प्रसव उपरान्त मॉ एवं बच्चे की स्वास्थ्य, पोषण एवं परिवार नियोजन संबंधी सलाह दी जा रही है।

माह अक्टूम्बर 2015 मे राज्य मे 314 सुरक्षित मातृत्व दिवस का आयोजन किये गये। जिसमे 10895 गर्भवती महिलाओ को सेवाये उपलब्ध करायी गयी है। जिसमे से गम्भीर एनिमिया वाली 2361 महिलाओं को आई.वी. आयरन सुक्रोज का डोज दी गयी व 2581 गर्भवती महिलाओ को टीटी के टीके लगाए गए तथा 1949 महिलाओं को हाईरिस्क प्रेग्नेंसी का होना चिन्हित किया गया

माह नवम्बर 2015 मे राज्य मे 314 सुरक्षित मातृत्व दिवस का आयोजन किये गये। जिसमे 10057 गर्भवती महिलाओ को सेवाये उपलब्ध करायी गयी है। जिसमे से गम्भीर एनिमिया वाली 1930 महिलाओं को आई.वी. आयरन सुक्रोज का डोज दिया गया व 1754 को टीटी प्रथम का टीका लगाया गया तथा 2021 महिलाओं को हाईरिस्क प्रेग्नेंसी का होना चिन्हित किया गया।

माह दिसम्बर 2015 मे राज्य मे 318 सुरक्षित मातृत्व दिवस का आयोजन किये गये। 9241 जिसमे गर्भवती महिलाओ को सेवाये उपलब्ध करायी गयी है। जिसमे से गम्भीर एनिमिया वाली 1917 महिलाओं को 3आई.वी. आयरन सुक्रोज का डोज दी गयी व 1237 गर्भवती महिलाओ को टीटी के टीके लगाए गए तथा 1559 महिलाओं को हाईरिस्क प्रेग्नेंसी का होना चिन्हित किया गया

प्रसूति नियोजन दिवस

राज्य मे माह अक्टूम्बर, 2015 मे सीएचसी/पीएचसी एवं उपस्वास्थ्य केन्द्र पर 8वे व 9वे माह की गर्भवती महिलाओ की प्रसव योजना एवं परिवहन संसाधन के संबंध मे कॉउसलिंग कर सुरक्षित प्रसव हेतु प्रसूति नियोजन दिवस का आयोजन प्रारम्भ किया गया।
माह अक्टूम्बर 2015 से दिसम्बर 2015 तक कुल 32138 प्रसूति नियोजन दिवस आयोजित किये गये जिसमे 218136 गर्भवती महिलाओ को लाभान्वित किया गया।

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Rashtriya Bal Swasthya Karyakram

  Rashtriya Bal Swasthya Karyakram "

"
Karyakram Parichay -

Rajasthan Sarkaar Rajya Ke Pratyek Bachhe Ko Swasthya Surakshaa Wa Uske Samagra Swasthya Ko Badhawa Dene Ke Liye Rashtriya Bal Swasthya Karyakram ( RBSK ) Ko Shuru Kiya Hain . Jisme Janm Se 18 Year Tak Ke Sambhi Bachhon Ka Swasthya Pareekshan Sambhi Sarakari Vidyalayon Wa आंगनबाडी Kendro Par Samarpit Mobile हैल्थ Team Ke Dwara Kiya Jata Hain . Is Karyakram Ke Tahat Janm Se 18 Year Tak Ki Umra Ke Bachhon Me Sambhavit Char विकारों यानि 4Ds Hone Ki Janch Kar Bade चिकित्सालय Me Upchar Kiya Jata Hain .

Karyakram Ka Mukhya Lakshya Bal Vikash Ke Char Vikar ( 4D - Birth Defect , Deficiencies , Disease , Developmental delays and disabilities ) Ko Samay Par Pehchan Kar Ilaaj Karwana Hain . Yadi Koi Bachha 30 Chinhit Bimariyon Me Se Kisi Se Grasit Paya Jata Hain , To Ise Aage Ke Ilaj Ke Liye रैफरल फोलोअप निःषुल्क Kiya Jata Hain , Sath Hee Is Karyakram Ke Tahat आवष्यक Hota Hain To सर्जिकल Ilaaj Bhi निःषुल्क Kiya Jata Hain .
आरबीएसके Ke लक्षित Samuh -
Janm Se Chhah Saptah Ke Sambhi Navjat ¼Dilivery Point½A
6 Saptah Se 6 Year Tak ( Aanganwadi Kendra ) Ke Sambhi Bachhe .
6 Year Se 18 Year Tak ( Sarakari Vidyaalay ) Ke Sambhi Bachhe .

Mobile हैल्थ Team -

Pratyek Mobile हैल्थ Team Me Do आयुष Chikitsak Wa Do पेरामेडिकल Staff Hain .

Karyakram Ki Shuruat -

Rashtriya Bal Swasthya Karyakram Ke Antargat Year 2014 - 15 Me Rajya Ke Bees Chaynit Zilon ( 07 सम्भागीय Mukhyalaya Jilen , 10 Uchh Prathmik Jilen Wa 03 Aadiwasi Zilon ) Me प्रषिक्षित Mobile हैल्थ टीमो Ke Dwara Bachhon Ka Swasthya Pareekshan Kiya Gaya: . Iske Liye In Zilon Me खण्डवार Do - Do टीमो Ka Gathan Kar Kul 250 टीमो Ke Dwara Swasthya Pareekshan Kiya Gaya: Hain . In टीमो Ke Dwara Shetra Ke Sambhi Sarakari Vidyalayon Wa आंगनबाडी Kendro Me Ane Wale 0 Se 18 Year Tak Ke Sambhi Bachhon Ka Swasthya Pareekshan Kar Chinhit 30 बिमारीयों Ki Screening Ka Karya Kiya Gaya: Tatha Chinhit बिमारियों Se Grasit Paye Gaye Bachhon Ko सूचीबद्व Kar Zila / Khannd / सीएचसी Str Par विषेषज्ञ Chikitsakon Dwara Camp Lagakar Upchar Kiya Gaya: Wa Gambhir Bimariyon Se Grasit Bachhon Ka Upchar Zila Hospital / Medical College Hospital / Niji Hospital Me Karaya Gaya: .

Year 2014 - 15 Me आरबीएसके Ki Pramukh उपलब्धिया -

2257112 Bachhon Ka Safal Swasthya Pareekshan
127290 Chinhit Bachhon Ka रेफरल
84091 Bachhon Ka Zila Hospital Wa Medical College Par Upchar Kiya Gaya: Hain .
40 , 000 Bachhon Ko Prathmik / Samudayik Swasthya Kendra / ब्लांक Str / Zila Str Par षिविर Lagakar Upchar Kiya Gaya: . 350 Bachhon Ki Vibhinn Surgery Ki Gayi Hain Inme Mukhyatah Cleft Lip & Palate , Developmental dysplasia of the hip , Congenital cataract , Dental Conditions , Congenital cataract आदी Hain .
34 Heart Surgery
Year 2015 - 16 Me Is Karyakram Ko Rajya Ke Samast Zilon Me आयुष Chikitsakon Ki 518 Mobile हैल्थ टीमो Ko प्रषिक्षण Dekar Dinank 4 January 2016 Se 14 January 2016 Tak फुलवाडी पखवाड़े Ke Naam Se Pure Rajya Me Chalaya Gaya: . 15 January 2016 Se Rajya Ke Sambhi Sarakari Vidyaalay Wa Aanganwadi Me Bachhon Ka Swasthya Pareekshan Ka Karya Kiya Jaa Raha Hain . Jiske Antargat Rajya Me Lagbhag 1267821 Lakh Bachhon Ka Swasthya Pareekshan Kiya Gaya: Hain , Jisme 51238 Bachhon Ko रेफर Kiya Gaya: .
" " Rashtriya Bal Swasthya Karyakram " "

आरबीएसके Ke Antargat Chinhit Gambhir Bimariyon Se Grasit Bachhon Ke Upchar Hetu Rajya Ke Nimn Niji chikitsalayon Se एमओयू Kiya Gaya: -

1 . फोर्टिस Hospital , Jaipur .
2 . Mahatma Gandhi मेडीकल College Aivam हॉस्पिटल , Jaipur .
3 . Goyal हॉस्पिटल And Research Center प्रा0 लि0 , Jodhpur .
4 . Jain AC एण्ड0 टी0 हॉस्पिटल , Jaipur .
5 . Narayann Hardayaal प्रा0 लि0 , Jaipur .
6 . Sahay हॉस्पिटल And Research Center , Jaipur .
7 . गीतांजली मेडीकल College Aivam हॉस्पिटल , Udaipur .
8 . मेडीप्लस होस्पिटल , Jodhpur .
9 . राज0 जिन्दल हॉस्पिटल Aivam Research Center प्रा0 लि0 , Bharatpur .
10 . Global हॉस्पिटल Aivam Research Center , Mount Abu
11 . Anand I हॉस्पिटल , Jaipur .

ANM Samwad

ANM Samvad

It was observed during field visits that basic skills of the nursing staffs were poor in the areas of ANC service, high risk pregnancy identifications and also records were not maintained properly

In order to strengthen skills and capacities of Nursing staffs, "ANM Samvad" is organized which innovatively uses technology for reaching to ANMs at negligible cost. 4 Samvads have been conducted with approx. 22000 health workers so far.

Ground situation

• National Health Mission aims at reducing the MMR and IMR along with provision of quality healthcare services. 
• Compromised quality of ANC services was being observed at the field level. 
• The findings revealed inadequate capacity of ANMs in conducting basic ANC examination and also incongruous record maintenance in the RCH register. 
• SIHFW skills assessment also highlights poor skills of ANMs.

Challenges

• Earlier orientations at CHC level was no so successful due to poor monitoring mechanism
• Training ANM through regular mechanism would take long time
• Orientation of master trainers on SDR preparation and its implementation at ground level – costly and time consuming

Solution – Brief

With a vision to enhance and improve the skills of ANM, boost their confidence and improve the quality of data “ANM Samvad” was planned and organised by the National Health Mission, Rajasthan.It was an IT based innovative interactive platform through which honourable Health Minister, Principal Health Secretary and Special Health Secretary & Mission Director NHM and state level officers interacted with total 21997 health workers including 20000 ANM’s & BCMOs/BPMs/MO I/Cs/LHVs of the state.This kind of innovation is first of its kind in the entire country where interaction of superiors with field staff, discussion of problem and finding of solution was done with the use of IT.

Methodology

Rajasthan state constitutes of 34 districts which are further divided into blocks making a total of 249 blocks in the state.

ANM Samvad is a video conferencing in which the health staff namely BCMO, MO, ANM and LHV participated from the district and block level at “ATAL SEVA KENDRA.”

Similarly from the state level interaction was done with honourable Health Minister, Principal Health Secretary and Mission Director NHM and state level officials.

As the state has a large health workforce it was difficult to interact with all at the same time. Hence the ANM Samvad was organised in 4 rounds ensuring that all the block participated in it.

The facilities in the blocks were randomly identified an divided into 4 batches and were informed of the dates and venue for their participation.

The health service providers of the block participated through the Atal Sewa Kendra (VC Kendra) located in their respective areas and at the state level the participation was through meeting hall of DM&HS..

Quality Maintain through

• Pre and post test for ANM who are attending ANM Samvad 
• Pre-designed Logo, Banner and attendant sheet at block level (VC)
• A quality video emphasising importance of ANC, how to do ANC, Importance of SDR, etc.
• Regular interaction by state health department with ANMs seated at block level
• One pager note for health workers about Dos & DON’Ts during Ante Natal Checkups

Participation in ANM Samvad

Samvad

No. of participants

1st Samvad51682nd Samvad59493rd Samvad4665 (attendance is less due to MI sessions & Arogya Rajasthan Camp)4th Samvad6215

Total Target

21997

Outcome

A zero investment project in which the government resources were optimally channelized

This novelty in the health care sector

A unanimous platform for interaction with senior authorities, demonstration of correct practices, discussion and clearing of doubts which arise during rendering of health services.

Interaction with the ANMs and LHVs after the VC clearly showed an increased level of confidence and commitment towards their duties and responsibilities, which itself proves the success of this innovation.

This being one of its kind initiatives in entire India, there is scarcity of literature over it. Hence further research and study is encouraged over it leading to development and improvisation

Rashtriya Kishor Swasthya Karyakram (RKSK)

Rashtriya Kishor Swasthya Karyakram (RKSK) was launched on 7 January 2014.

Adolescents in the age group 10 to 19 years constitute 23% of the total population in Rajasthan compared to 22% in India. Adolescence is a period where there is huge window of opportunity to influence them to become a constructive force for social and economic transformation and contribute to the sustainable and inclusive growth. The health of the adolescents during this period is paramount to achieve this and the RKSK aims to achieve the same through a comprehensive package of strategies and intervention

Coverage :

The new adolescent health (AH) strategy focuses on age groups 10-14 years and 15-19 years with universal coverage, i.e. males and females; urban and rural; in school and out of school; married and unmarried; and vulnerable and under-served.

RKSK Component:

1. Weekly Iron & Folic Acid Supplementation Programme (WIFS)
2. Menstrual Hygiene Scheme (MHS)
3. Adolescent Friendly Health Clinic (AFHC)
4. Peer Educator 
5. Quarterly Adolescent Health Day (AHD)

The new Adolescent Health strategy seeks to achieve following objectives:

Improve nutritiona. Reduce the prevalence of malnutrition among adolescent girls and boys (including overweight/obesity)b. Reduce the prevalence of iron-deficiency anaemia (IDA) among adolescent girls and boysEnable sexual and reproductive healthImprove knowledge, attitudes and behaviour, in relation to SRHReduce teenage pregnanciesImprove birth preparedness, complication readiness and provide early parenting support for adolescent parents.Enhance mental healthPrevent injuries and violencePrevent substance misuseAddress conditions for NCDs

Progress :

Clinics : According to the new guidelines of GoI, line listing of 50% CHCs and 2 related PHCs has been done. Branding of AFHC clinics is done, now AFHC is known as “UJALA’.

AHD: 1853 Adolescent Health Days will be organized in 10 HPDs from December to March. Out of which 207 have be completed till December end.

Workshops: State level orientation workshop has been organized on 26 aug,15, Commissioner AH from Delhi were the chief guest.